摘要
目的:睡眠障碍直接影响健康相关生活质量,因此了解睡眠障碍的危险因素,并积极进行干预意义重大。本研究旨在分析长沙地区部分健康体检人群不同饮食模式与睡眠障碍的关联及其相关影响因素。方法:采用横断面调查,以2017年7月至2018年6月在长沙地区某大型综合医院健康管理中心参加健康体检的86 073名18~70岁人群为研究对象,进行问卷调查、体格检查和实验室检测。采用主成分分析法进行饮食模式分类,运用非条件logistic回归模型,分析各饮食模式与睡眠障碍的关联,并基于分类树模型分析睡眠障碍的影响因素。结果:共检出睡眠障碍者16 048例,检出率18.64%。由主成分分析法分解成4种饮食模式,即健康模式、零食模式、粗粮模式和油荤模式。在调整相关因素后行logistic回归分析,发现零食模式、油荤模式是睡眠障碍的危险因素;而粗粮模式是睡眠障碍的保护因素。分类树模型筛选出年龄、容易焦虑不安、零食模式、感觉压抑沮丧、慢性疼痛、经常运动、文化程度、性别和体重分组9个影响因素,以及9类睡眠障碍高危人群。结论:长沙地区部分健康体检人群睡眠障碍发生率较高,零食摄入多的饮食模式与其关系较密切,倡导优化饮食结构并加强监测和控制相关危险因素对改善睡眠具有积极意义。体检后应对不同特征睡眠障碍高危人群采取差异化的健康干预措施。
Objective: Sleep disorders directly affect health-related quality of life, so it is of great significance to investigate the risk factors of sleep disorders and to actively intervene. This study aims to investigate the relationship between dietary patterns and associated factors and sleep disorders among the health screening populations in Changsha.Methods: A cross-sectional study was carried out in 86 073 subjects aged 18-70 years old who underwent the health screening. The association between dietary patterns and sleep disorders was analyzed. The associated factors for sleep disorders were identified via by principal component analysis and classification tree model.Results: The overall prevalence of reporting sleep disorders was 18.64%. Four major dietary patterns(healthy, snacks, whole-grain, and fried food patterns) were identified. In logistic regression, snacks and fried food patterns had higher risk of sleep disorders. The whole-grain pattern was a protective factor for sleep disorders. Nine associated factors including age, susceptibility to anxiety, snacking parterns, feelings of depression, chronic pain, physical activity, educational level, gender, and weight, and 9 groups at high risk for sleep disorders were identified by classification tree model.Conclusion: Sleep disorders are prevalent in the health screening population of Changsha.There is a close association between snacks dietary patterns and sleep disorders. It is necessary to promote healthy and reasonable diet, and keep good lifestyle for the prevention and control of sleep disorders. Health management after physical examination should take different health interventions for high-risk groups with different characteristics of sleep disorders.
作者
曹霞
周淑伊
杨斌芳
周建松
CAO Xia;ZHOU Shuyi;YANG Binfang;ZHOU Jiansong(Health Management Center,Third Xiangya Hospital,Central South University,Changsha 410013;College of Electrical and Information Engineering,Hunan University,Changsha 410006;National Clinical Research Center for Mental Disorders,Institute of Mental Health,Central South University,Changsha 410011,China)
出处
《中南大学学报（医学版）》
CAS
CSCD
北大核心
2020年第10期1204-1214,共11页
Journal of Central South University ：Medical Science
基金
国家自然科学基金(71804199)
湖南省自然科学基金(2017JJ3470)。
关键词
睡眠障碍
饮食模式
主成分分析
分类树模型
健康体检
sleep disorders
dietary patterns
principal component analysis
classification tree model
health screening
